Approaches to Medical Spiritual Care

Schaffner, Johannes; von Känel, Roland; Gessler, Katharina (2017). Approaches to Medical Spiritual Care. Praxis - schweizerische Rundschau für Medizin, 106(24), pp. 1345-1349. Huber 10.1024/1661-8157/a002848

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We report a 79-year-old female patient with recurrent episodes of presyncope/syncope over 15 years, accompanied by urge incontinence and nocturnal enuresis, referred to the psychosomatic ward, as her medical symptoms were unexplained. Based on a lack of neurological deficits, extensive clinical examinations without any diagnostic cues, a typical history, orthostatic challenge and plasma catecholamine findings, we were able to diagnose pure autonomic failure. We could exclude psychosocial stress or a mental disorder as relevant causes for the symptoms.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurology > Centre of Competence for Psychosomatic Medicine

UniBE Contributor:

von Känel, Roland

ISSN:

1661-8157

Publisher:

Huber

Language:

German

Submitter:

Stefanie Hetzenecker

Date Deposited:

27 Feb 2018 15:52

Last Modified:

03 Nov 2019 07:05

Publisher DOI:

10.1024/1661-8157/a002848

PubMed ID:

29183213

Uncontrolled Keywords:

Autonomes Nervensystem Autonomic nervous system Bradbury-Eggleston syndrome Bradbury-Eggleston-Syndrom Urininkontinenz autonome Dysfunktion autonomic dysfunction orthostatic hypotension orthostatische Hypotonie urine incontinence

BORIS DOI:

10.7892/boris.108163

URI:

https://boris.unibe.ch/id/eprint/108163

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